Oral surgery; a text-book on general surgery and medicine as applied to dentistry . ng them out in every direction, intensifying the symp-toms of pain and discomfort. If a diagTiosis is not madeand an operation is not performed for relief of the reten-tion, it usually spontaneously erupts either into the nasal orthe oral cavity. During sleep the pus is unconsciously swal-lowed, producing a most disagreeable morning nausea andvomiting, if much has entered the stomach. Great disten-sion closes the nasal cavity by forcing in the wall, and thefloor of the orbit may be- forced upward so as to displ
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . ng them out in every direction, intensifying the symp-toms of pain and discomfort. If a diagTiosis is not madeand an operation is not performed for relief of the reten-tion, it usually spontaneously erupts either into the nasal orthe oral cavity. During sleep the pus is unconsciously swal-lowed, producing a most disagreeable morning nausea andvomiting, if much has entered the stomach. Great disten-sion closes the nasal cavity by forcing in the wall, and thefloor of the orbit may be- forced upward so as to displacethe eyeball and disconcert the normal lines of vision of thetwo eyes. Tumefaction of the entire side of the face is pro- DISEASES OF THE ANTRUM 345 duced. The discharge is usually very offensive and is dueto the generation of hydrogen sulfid gas. The patient issensible of a foul taste and smell. Constitutional symptomsare rigors, which may become chills, indicating pus ac-cumulation and retention. These are followed by fever,loss of appetite, and general lowering of Fig. 173.—X-Ray Showing Disease of Antrum on Right Side with Pus.(Dr. Geo. C. Johnston.) Diagnosis.—The diagnosis of antral disease is basedupon the following: 1, pain or face ache; 2, morningsickness; 3, unilateral discharge of pus from the nose, ac-celerated by position; 4, tenderness on percussion; 5, fetidbreath; 6, slight swelling, not always present, except in re-tention; 7, exploratory operation, when no pus escapes,either through the nasoantral walls or through a root 346 DISEASES OF THE SINUSES socket, if one exists, or preferably tlirougli the outer wallof the antrum, of value in determining whether the cavityis normal; 8, transiUumination of the maxilla, which is rec-ommended. The eyelids should be closed to obtain the bestresults. It shows whether the antrum is empty or whether
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
